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Burn injury prevention in low-and middleincome countries:scoping systematic review

Burns & Trauma 2021年第1期9卷 123-144页

作者： Kate Price Kwang Chear Lee Katherine E.Woolley Henry Falk michael peck Richard Lilford Naiem Moiemen College of Medical and Dental Sciences University of BirminghamEdgbastonBirminghamB152TTUK University Hospital Birmingham NHS Foundation Trust Queen Elizabeth Hospital BirminghamMindelsohn WayEdgbastonBirminghamB152WBUK Institute of Applied Health Research University of BirminghamEdgbastonBirminghamB152TTUK Adjunct Professor of Environmental Health Emory UniversityRollins School of Public HealthAtlantaGA 30322US Clinical Professor of Surgery University of Arizona College of MedicinePhoenixAZ 85004US

Background:Burn injuries are a leading cause of morbidity and disability,with the burden of disease being disproportionately higher in low-and middle-income countries(LMIC).Burn prevention programmes have led to significant reductions in the incidence of burns in high-income ***,a previous systematic review published in 2015 highlighted that implementation and evaluation of similar programmes has been limited in *** objective of this scoping review and narrative synthesis was to summarise and understand the initiatives that have been carried out to reduce burn injuries in LMIC and their ***:We aimed to identify publications that described studies of effectiveness of burn prevention interventions applied to any population within a LMIC and measured burn incidence or burns-related *** publications were identified from three ***,data was extracted from manuscripts identified in the systematic review published by Rybarczyk et *** then performed a search for manuscripts on burn prevention interventions published between January 2015 and September ***,we extracted data from two systematic reviews where burn evidence was not the primary outcome,which were identified by senior authors.A quality assessment and narrative synthesis of included manuscripts were ***:In total,24 manuscripts were identified and categorized according to intervention *** majority of manuscripts(n=16)described education-based *** manuscripts focused on environmental modification interventions and four adopted a mixedmethods *** of the education-based initiatives demonstrated improvements in knowledge relating to burn safety or first aid,however few measured the impact of their intervention on burn *** manuscripts described population-based educational interventions and noted reductions in burn *** one of the four manuscripts describing environmental modification i

关键词： Burns Prevention Low-and-middle income countries Systematic review

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“Streets of Fire”revisited:contact burns

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Burns & Trauma 2019年第1期7卷 295-308页

作者： Areta Kowal-Vern Marc R.Matthews Karen N.Richey Kathy Ruiz michael peck Arpana Jain Kevin N.Foster Arizona Burn Center Maricopa Medical CenterDepartment of SurgeryMaricopa Integrated Health System2601 E.Roosevelt StreetPhoenixArizona 85008USA Research Department Maricopa Integrated Health SystemPhoenixArizona 85008USA

Background:Pavement-street contact burns are *** study compared recent contact burns to those published in“Pavement temperature and burns:Streets of Fire”in *** hypothesis was that there were a significantly increased number of pavement-street burns,as a result of increased ambient temperatures,and that motor vehicle crash(MVC)contact burns were less severe than pavements-street ***:This was a retrospective burn center registry study of naturally heated surface contact burns during May to September from 2016 to *** analyses were performed with one-way analysis of variance(ANOVA)and Maximum Likelihood chi-squared for age,percent of total burn surface area(%TBSA),treatment,hospitalization,comorbidities,hospital charges,mortality,ambient,and surface temperatures(pavement,asphalt,rocks).Results:In the 1995 study,median ambient temperatures were 106(range 100–113)°F compared to the 108(range 86–119)°F highest noon temperature in the current *** ambient temperature differences were recorded on days with pavement burn admissions compared to days without these *** were 225 pavement,27 MVC,15 road rash,and 103 other contact *** major injuries in the pavement group were due to being“down”(unknown reason),falls,and *** to the others,the pavement group was older,56+years,p<0.001,and had smaller burns but similar length of *** percent of the 225 pavement group patients with full-thickness burns required skin *** were 13(6%)fatalities in the pavement group vs 1(4%)in the MVC group,p=*** were secondary to sepsis,shock,cardiac,respiratory,or kidney *** to survivors,the non-survivors had a significantly higher%TBSA(10%vs 4%),p=0.01,and lower Glasgow Coma Scores(10 vs 15),p=***:There was a median 2°F increase in ambient temperature since *** increase in pavement burn admissions was multi-factorial:higher temperatures,population,and the number of old

关键词： Pavement Concrete Asphalt Contact burns Road rash Streets Highways Sand Rocks

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